Provider First Line Business Practice Location Address:
BLVD BENITO JUAREZ 1296-2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEXICALI
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21270
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-272-9021
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2024